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Disease Outbreaks Can Influence Government Stability (RIO)
Disease Outbreaks Can Influence Government Stability (RIO)
Desordem ou guerra civil?
...snip...
Agora mesmo o Rio de Janeiro padece dos efeitos de desastre anunciado, a dengue, com o prefeito César Maia (DEM) insistindo em jurar que não existe epidemia: registram-se apenas cem mil casos isolados. O Estado de Pernambuco segue a mesma pisada. Ninguém sabe de quem é a responsabilidade.
Re: Disease Outbreaks Can Influence Government Stability
Dengue outbreak shows dark side of Rio de Janeiro
The mosquito-borne fever has killed nearly 90, hitting children and the poor the hardest, and prompted outrage at city officials.
By Andr?s D'Alessandro and Patrick J. McDonnell, Los Angeles Times Staff Writers
April 21, 2008
RIO DE JANEIRO -- Brazil is booming. The currency is soaring, people are buying houses and cars at a record pace, and global financiers are keen to invest. The country seems poised to acquire official First World status.
But residents of this self-proclaimed city of wonders are worried and angry about a Third World affliction -- dengue fever, the tropical disease spreading in epidemic fashion here.
As of Friday, health officials reported that dengue had killed at least 87 people in the state of Rio de Janeiro this year and sickened more than 93,000. Most cases occurred here in the city, Brazil's principal tourist attraction. Children 15 and younger have been especially hard hit, accounting for almost half of the dead, officials said.
Dengue has become an annual scourge in a swath of tropical Brazil, but this year's epidemic seems likely to be Rio's deadliest in recent history.
Rather than blame the stripe-bellied Aedes aegypti mosquito that spreads the ailment, many Cariocas, as Rio residents are known, are lashing out at what they call a confused and belated government response. Critics say officials were slow to fumigate and take other action during the Southern Hemisphere summer, when heavy rains created optimum mosquito breeding grounds.
"This epidemic is purely the responsibility of local and national authorities," said Edna Rollin, 58, a history teacher who expressed the sentiment of many interviewed in the bustling Cinelandia plaza downtown. "They stopped fumigating in summer, and now we are paying the consequences."
Lawmakers have pointed fingers at each other in a blame game reminiscent of what happened in New Orleans with Hurricane Katrina -- which also hit the poor hardest and exposed a dark underside of an international tourist mecca.
With the number of cases soaring and clinics overwhelmed, officials this month belatedly directed more than 1,000 soldiers to join firefighters, volunteers and others in patrolling streets and inspecting tens of thousands of homes in a much-publicized offensive. The teams fumigate and destroy stands of still water, where mosquitoes breed.
Anti-dengue squads are focusing on the poor hillside favelas where many live in close quarters amid substandard sanitary conditions. Declared Rio Gov. Sergio Cabral, "We must fight dengue in the same way we cannot tolerate the occupation of favelas by drug traffickers."
The dengue epidemic, like the gun battles pitting police against traffickers in the favelas, has become a nasty blemish on Rio's glam image. Some accuse the government of trying to keep a lid on dengue to avoid scaring off tourists.
There have been scattered reports of reduced hotel occupancy rates, but no mass cancellations. At major hotels, the international airport or at approaches to tourist icons such as Corcovado and Sugar Loaf mountains, few signs warn visitors of the dengue threat.
But word is out. The U.S. and other embassies have advised visitors to take precautions, such as wearing long-sleeved shirts and avoiding short pants.
The heated dengue debate has again bared the deep divisions between Rio's haves and have-nots in a nation famous for income inequality. Residents of poor neighborhoods complain they have been ignored, until recently.
"I'm terrified that my baby will get sick," said Graciela Kauan, 16, her 8-month-old son in her arms at the Cinelandia plaza. "I cover my boy with insect repellent each night and he sleeps under a mosquito net."
Dengue fever, a viral disease transmitted by mosquitoes, is a flu-like ailment that is usually not fatal. However, physicians worry that a deadlier variant may be spreading here and in neighboring Paraguay, which also faces a dengue crisis.
There is no vaccine for dengue. Treatment usually involves rest and increased intake of fluids.
According to the Pan American Health Organization, dengue-infected mosquitoes have spread in the tropics worldwide thanks to factors such as rapid urbanization, lack of sanitation, and the heightened use of containers and tarpaulins made of plastic, which may provide breeding grounds for mosquitoes. Some experts say climate change also may have favored the dengue-carrying mosquito.
Although they say the epidemic has probably peaked, officials add that cases are unlikely to end until June or July and the arrival of cooler, drier weather.
Health experts hope that the outbreak will prompt earlier intervention in future years.
"There was evidence of an epidemic risk long ago," Luiz Pinguelli Rosa, an expert at the Federal University of Rio de Janeiro, told Agencia Brasil news service. "If the recent measures had been taken two months earlier, the situation would certainly have been better, both in fighting the mosquito and taking care of those infected."
N?mero de mortes por dengue chega a 92 e supera epidemia de 2002
Publicada em 22/04/2008 ?s 20h06m
Extra, O Globo e O Globo Online
RIO - O n?mero de mortes confirmadas por dengue este ano, no estado, j? ? maior do que o notificado em 2002, quando houve a ?ltima epidemia da doen?a. At? esta ter?a-feira, a Secretaria estadual de Sa?de registrou 92 ?bitos, sendo 32 por dengue hemorr?gica. O n?mero de ?bitos pode ser ainda maior. Outros 96 est?o sendo investigados. Se confirmados, pode chegar a 188. Comparando as duas epidemias, este ano a letalidade ? quase tr?s vezes maior. No munic?pio de Italva, uma gestante morreu com a doen?a no dia 18 de abril.
As cidades com mais casos de morte s?o Rio, Duque de Caxias, S?o Jo?o de Meriti, Campos e Angra. A maioria das v?timas (42%) tinha at? 15 anos. No estado, foram notificados 110.783 casos de dengue. A maior parte dos doentes (55%) t?m de 15 a 49 anos. Em 2002, foram 91 mortes em 288.245 casos.
Vacina??o de idosos contra a gripe ? mantida
O ministro Jos? Gomes Tempor?o decidiu manter a vacina??o de idosos contra a gripe no Estado do Rio de Janeiro. A prefeitura havia feito um pedido para adiar a campanha para evitar uma corrida aos postos de sa?de, sobrecarregados por causa da epidemia de dengue. A vacina??o come?a dia 26 e se estender? at? o dia 9 de maio em todo o Brasil, para pessoas a partir de 60 anos. O ministro est? no Rio e cancelou a agenda desta ter?a-feira, por causa de uma forte gripe. Segundo os assessores, n?o h? indica??o de dengue. A assessoria n?o soube informar se foi feito exame de sorologia.
Os m?dicos do Sul que vieram para ajudar no atendimento da dengue j? voltaram para casa, enquanto outra turma de ga?chos j? chegou ao Rio na noite de segunda-feira. A substitui??o estava prevista pela Secretaria estadual de Sa?de. Na tenda da G?vea, na segunda-feira, foram atendidas cerca de 130 pessoas encaminhadas principalmente pelo Hospital Miguel Couto.
No Hospital Salgado Filho, no M?ier, muitas crian?as aguardavam na emerg?ncia. Na tenda da Penha, segundo os m?dicos, 70% dos casos foram de pacientes que j? est?o em tratamento e voltaram para fazer hidrata??o. A prefeitura cancelou o ponto facultativo das unidades de sa?de nesta ter?a.
Para os m?dicos, s? na quinta-feira, quando a vida da cidade voltar ao normal, vai dar para saber se a diminui??o do movimento nas tendas, postos e hospitais da segunda-feira foi por causa do feriado ou se epidemia de dengue come?a mesmo a dar sinais de que est? indo embora.
- As pessoas podem ter viajado no feriado prolongado. As pessoas podem ter at? d?vidas se a unidade est? aberta ou n?o. ent?o, houve uma redu??o de acordo com os dias normais em 40% do volume de atendimento - Paulo Roberto Machado, diretor de posto de sa?de.
Confira tamb?m:
As verdades e mentiras sobre a dengue: saiba mais em gr?fico
Saiba quais s?o os sintomas da doen?a
Dengue revela o 'lado escuro do Rio', diz jornal americano
Veja a incid?ncia da doen?a nos bairros
Re: Disease Outbreaks Can Influence Government Stability (RIO)
machine translation of above post -
EPIDEMIC
Number of dengue mortes (deaths) chega to 92 and exceeds 2002 epidemic
Published 22/04/2008 EM ?s 20h06m
Extra, O Globo and O Globo Online
RIO - The number of confirmed dengue mortes this year, the state, j? is greater than or notified em 2002, when houve last epidemic of the disease. At? this ter?a-feira, state Health Secretary registrou 92 deaths, 32 being dengue haemorrhagic. The number of deaths can be higher still. Outros (another) 96 est?o being investigated. It confirmed, can get there to 188. Comparing the two epidemics this year to letalidade is almost three times larger. No municipality Italva, a pregnant woman with a doen?a not morreu day April 18.
As cidades with more cases are morte Rio, Duque de Caxias, S?o Jo?o de Meriti, Fields and Angra. Das v?timas The majority (42%) tinha up to 15 years. No state, were 110,783 reported cases of dengue. The highest part two doentes t?m (55%) of 15 to 49 years. Em 2002, 91 were mortes em 288,245 cases.
Vacina??o of elderly against influenza is to mantida
Or minister Jose Gomes Tempor?o decidiu maintain a vacina??o of elderly against influenza in the State of Rio de Janeiro. A prefeitura havia feito um adiar called for a campaign to prevent one bullfight years postos health, because sobrecarregados gives dengue epidemic. A vacina??o come?a day 26 and was estender? or until day 9 maio em all or Brazil, for pessoas from 60 years. Or minister is not Rio and cancelou agenda to desta ter?a-feira, because of flu uma forte. Second you assessores, n?o h? indica??o dengue. A report was soube assessoria n?o foi feito examination of sorologia.
We doctors do Sul, to assist vieram that no atendimento gives dengue j? voltaram home, while outra turma of ga?chos j? chegou ao Rio na noite second-feira. A substitui??o estava scheduled pela state Health Secretary. Tenda da G?vea Na, na second-feira, were addressed about 130 mainly pessoas encaminhadas hair Miguel Couto hospital.
There Hospital Salgado Filho, not M?ier, many children aguardavam nu emergency. Na tenda da Penha, second os doctors, 70% were two cases of patients who j? est?o em treatment and voltaram para fazer hidrata??o. A prefeitura cancelou point or optional units das health nesta ter?a.
For you physicians, s? na fifth-feira, when the city back to life or normal Vai give to know is a diminui??o do movimento cf tendas, postos hospitals and gives second-feira was due do holiday or dengue epidemic is the same come?a sinais to Indo although that is.
-- As pessoas can not b traveled long holiday. As pessoas b can be up to d?vidas unit is aberta or not. Ent?o, houve uma redu??o according days you normais em 40% volume of attendance - Paulo Roberto Machado, diretor of posto health.
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